scholarly journals Narrative review of provider behavior in primary care behavioral health: How process data can inform quality improvement.

2017 ◽  
Vol 35 (3) ◽  
pp. 257-270 ◽  
Author(s):  
Gregory P. Beehler ◽  
Kaitlin R. Lilienthal ◽  
Kyle Possemato ◽  
Emily M. Johnson ◽  
Paul R. King ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Behavioral Health ◽  
Narrative Review ◽  
Process Data ◽  
Provider Behavior ◽  
Primary Care Behavioral Health

Measuring Perceived Level of Integration During the Process of Primary Care Behavioral Health Implementation

2017 ◽  
Vol 33 (3) ◽  
pp. 253-261 ◽  
Author(s):  
Erin M. Staab ◽  
Mara Terras ◽  
Pooja Dave ◽  
Nancy Beckman ◽  
Sachin Shah ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Behavioral Health ◽  
Primary Care Clinic ◽  
Health Clinic ◽  
Care Clinic ◽  
Primary Care Behavioral Health ◽  
Item Level ◽  
Levels Of Integration

Provider- and staff-perceived levels of integration were measured during implementation of a primary care behavioral health clinic; these data were used to tailor and evaluate quality improvement strategies. Providers and staff at an urban, academic, adult primary care clinic completed the 32-item Level of Integration Measure (LIM) at baseline and 7 months. The LIM assesses 6 domains of integrated care. Overall and domain scores were calibrated from 0 to 100, with ≥80 representing a highly integrated clinic. Response rate was 79% (N = 46/58) at baseline and 83% (N = 52/63) at follow-up. Overall, LIM score increased from 64.5 to 70.1, P = .001. The lowest scoring domains at baseline were targeted for quality improvement and increased significantly: integrated clinical practice, 60.0 versus 68.4, P < .001; systems integration, 57.0 versus 63.8, P = .001; and training, 56.7 versus 65.3, P = .001. Ongoing quality improvement, including organizational and financial strategies, is needed to achieve higher levels of integration.

Integrated primary care behavioral health for the rural older adult.

2016 ◽  
Vol 1 (3) ◽  
pp. 145-153
Author(s):  
Stacy Ogbeide ◽  
Gage Stermensky ◽  
Summer Rolin
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Older Adult ◽  
Integrated Primary Care ◽  
Primary Care Behavioral Health

Improving Access to Integrated Behavioral Health in a Nurse-Led Federally Qualified Health Center

2021 ◽  
pp. 107839032199416
Author(s):  
Sarah Stalder ◽  
Aimee Techau ◽  
Jenny Hamilton ◽  
Carlo Caballero ◽  
Mary Weber ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Primary Care Providers ◽  
Care Team ◽  
Psychiatric Nurse ◽  
Care Providers ◽  
Team Members ◽  
Task Forces

BACKGROUND: The specific aims of this project were to create a fully integrated, nurse-led model of a psychiatric nurse practitioner and behavioral health care team within primary care to facilitate (1) patients receiving an appropriate level of care and (2) care team members performing at the top of their scope of practice. METHOD: The guiding model for process implementation was Rapid Cycle Quality Improvement. Three task forces were established to develop interventions in the areas of Roles and Responsibilities, Training and Implementation, and the electronic health record. INTERVENTION: The four interventions that emerged from these task forces were (1) the establishment of patient tiers based on diagnosis, medications, and risk assessment; (2) the creation of process maps to engage care team members; (3) just-in-time education regarding psychiatric medication management for primary care providers; and (4) use of a registry to track patients. RESULTS: The process measures of referrals to the psychiatric care team and psychiatric assessment intakes performed as expected. Both measures were higher at the onset of the project and lower 1 year later. The outcome indicator, number of case reviews, increased dramatically over time. CONCLUSIONS: For psychiatric nurse practitioners, this quality improvement effort provides evidence that a consultative role can be effective in supporting primary care providers. Through providing education, establishing patient tiers, and establishing an effective workflow, more patients may have access to psychiatric services.

Development and validation of a measure of primary care behavioral health integration.

2016 ◽  
Vol 34 (4) ◽  
pp. 342-356 ◽  
Author(s):  
Rodger S. Kessler ◽  
Andrea Auxier ◽  
Juvena R. Hitt ◽  
C. R. Macchi ◽  
Daniel Mullin ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Primary Care Behavioral Health ◽  
Behavioral Health Integration ◽  
Development And Validation

scholarly journals Innovations in primary care behavioral health: a pilot study across the U.S. Air Force

2018 ◽  
Vol 9 (2) ◽  
pp. 266-273 ◽  
Author(s):  
Ryan R Landoll ◽  
Matthew K Nielsen ◽  
Kathryn K Waggoner ◽  
Elizabeth Najera
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Behavioral Health ◽  
Air Force ◽  
Primary Care Behavioral Health ◽  
The U.S

Patient outcomes associated with primary care behavioral health services: A systematic review

2018 ◽  
Vol 53 ◽  
pp. 1-11 ◽  
Author(s):  
Kyle Possemato ◽  
Emily M. Johnson ◽  
Gregory P. Beehler ◽  
Robyn L. Shepardson ◽  
Paul King ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Health Services ◽  
Behavioral Health ◽  
Patient Outcomes ◽  
Behavioral Health Services ◽  
Primary Care Behavioral Health

Improving Primary Care Behavioral Health Integration in an Academic Internal Medicine Practice

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Isabel Yin ◽  
Erin M. Staab ◽  
Nancy Beckman ◽  
Lisa M. Vinci ◽  
Mim Ari ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Primary Care ◽  
Behavioral Health ◽  
Primary Care Behavioral Health ◽  
Behavioral Health Integration
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